Am I Eligible to use the Clinic?
Basic health care will be provided by the West Plains Christian clinic to those who:
- have NO health insurance
- are NOT eligible for Medicaid, Medicare, or Veteran’s Health Benefits
- have income below 125% of 2018 Federal Poverty Guidelines as listed in the Clinic Income Eligibility Guide below:
**If your income exceeds the Clinic Income Eligibility Guide above, but you meet all other Clinic requirements, you may be eligible for drug assistance through the "Patient Assistance Program" even though you do not qualify for Clinic services. Call for more information 417-256-WPCC(9722).
Proof of Income requirements can be filled by bringing any/all of the following documentation that applies to your individual situation:
Salary: Copies of last 3 month's pay stubs.
If Self-Employed: Income & expense log sheets for last 3 months.
Social Security: Current copy of award letter
SS Disability: Current award letter.
Document showing date Medicare eligibility begins.
Unemployment Income: Document showing amount, beginning/end
Workman's Comp Benefits: Document showing amount,
Child Support: Copy of last 3 month's checks or court document.
Alimony: Copy of last 3 month's checks or court document.
Pension/Retirement: Current statement showing monthly
Veterans Benefits: Current statement showing monthly amount
received and a letter stating that you do not qualify
for medical assistance.
Food Stamps: Current documentation from DSS showing amount
HUD Housing: Current written documentation from the housing
If you are permanently living with family/significant other, you
will need to bring documentation of their income
using any of the forms listed above.
If you are temporarily living with someone, you will need a form
from the Clinic.
Additional Documentation Required:
Medicaid Denial Letter or Application for Medicaid
Driver's License & Social Security Card
Current Income Tax Return. If you did not file a tax return the Clinic
will send a form with your signature to the IRS
requesting proof of non-filing.